DIVISIONS OF LEMANS CORPORATION

DIVISIONS OF LEMANS CORPORATION

3501 KENNEDY RD. P.O. BOX 5222 JANESVILLE, WI 53547-5222 PHONE 608/758-1111 FAX 608/741-5395

Greetings! Thank you for your interest in becoming one of our Dealers. We are the industry's leading after-market accessory distributor. We sell directly to Dealers, not to consumers or sub-distributors. We reserve the right to accept or deny any Dealer application. We believe that we have a lot to offer you, including:

? 9 of the largest, easiest to use catalogs in our industry. ? 5 state of the art U.S. distribution centers. ? Over 150,000 items available. ? The leading Sales Reps in the industry. ? Monthly Specials and Dealer Programs. ? Dealer hospitality areas at major Motorcycle, Snowmobile and Watercraft Events.

Our minimum Dealer requirements include, but are not limited to, the following: ? A retail store that is located in a commercial location with acceptable commercial signage, serving as your primary business in the motorcycle, watercraft, atv or snowmobile market. ? A maintained retail display area for Powersports parts and accessories. ? Regular posted business hours. ? Minimum Initial Order required. ? Minimum Annual Purchases required.

To assist us in processing your application, the following items are required via fax, email or mail: 1) Your completed Dealer Application (7 pages) and also the following items:

a) Copy of your State Tax Resale Certificate (if applicable). b) Copy of your Business License (if applicable). 2) Photos of your Dealership, inside and outside, including display/service area. a) Photos must be mailed or emailed to Dealer Development at: DealerDev@Parts-. Thank you for your interest. We look forward to receiving your completed application and additional documents. If you have any questions, please call Dealer Development at (608) 758-1111.

Dealer Application ? Cover Page Revised 5/1/16

DIVISIONS OF LEMANS CORPORATION

3501 KENNEDY RD. P.O. BOX 5222 JANESVILLE, WI 53547-5222 PHONE 608/758-1111 FAX 608/741-5395

DEALER APPLICATION

Legal Firm Name__________________________________________________ Date_____________ Doing Business As (D/B/A) ___________________________________________________________ Street Address _____________________________________________________________________ City_____________________________________________ State _________ Zip________________ Store Phone Number: (_____)_____________________ Fax Number: (____) ___________________ E-mail Address ____________________________________________________________________ Website Address___________________________________________________________________ Billing Address, if different_____________________________________________________________ Federal Employee Id # _______________________________ Zoning_________________________ Primary Business is in the Motorcycle, ATV, Watercraft or Snowmobile markets: [ ] Yes [ ] No

Type of ownership (check one): [ ] Individual [ ] Partnership [ ] Corporation [ ] LLC Name of: [ ] Owner [ ] Partner [ ] Officer: ____________________________________________ Home Address _____________________________________________________________________ City _________________________________________State __________ Zip___________________ Home Phone (_____) __________________ Personal Email: _____________________________ Name of: [ ] Owner [ ] Partner [ ] Officer: ____________________________________________ Home Address _____________________________________________________________________ City _________________________________________ State ___________ Zip _________________ Home Phone (_____) __________________ Personal Email: _____________________________

Written confirmation of Name & Ownership change is required. (MUST INCLUDE PHOTOS)

OFFICE USE Dealer # _________________________________ Rep # ___________________________________

TCOF___________ BROF ___________ FBCF ___________ CAOF ___________ APOF ___________ POF ___________

Dealer Application Page 1 of 7 Revised 5/1/16

DIVISIONS OF LEMANS CORPORATION

3501 KENNEDY RD. P.O. BOX 5222 JANESVILLE, WI 53547-5222 PHONE 608/758-1111 FAX 608/741-5395

DEALER APPLICATION (Continued)

Store Manager__________________________ Accessory Manager__________________________ Parts Manager__________________________ Bookkeeper ________________________________

Description/Type of Primary Business: (select all that apply)

Motorcycle: ____ % of V-twin ____% of Metric [ ] Accessory Store [ ] Repair Shop [ ] Internet

[ ] Street [ ] Off-Road [ ] ATV [ ] Snowmobile

[ ] Watercraft

Other - Explain: ____________________________________________________________________

Franchise dealer for: [ ] Harley-Davidson? [ ] Honda [ ] Kawasaki [ ] Suzuki [ ] Yamaha [ ] BMW [ ] Ducati [ ] Sea-Doo [ ] Arctic Cat [ ] Ski-Doo [ ] Polaris Other:_________________

Store Hours: Monday to Friday _________ to _________ Sat/Sun _________ to __________

Current Owner Start Date ____________________

Approximate current inventory value? _____________________

Approximate building/warehouse sq. ft. ____________________

Requested Method of Payment: [ ] Credit Card (DO NOT provide Credit Card data on this Form) [ ] COD/Company Check (Page 4 Required, BANK RELEASE Form) [ ] Open Account (Separate 3-Page CREDIT APPLICATION Required)

The undersigned is responsible for any not sufficient funds charges and any other charges relating to product received and not paid for along with costs of collection.

Trade Suppliers: (Powersports Related Only - leave blank if Brand New Business) 1. Company Name _______________________________ Phone # (_____) ____________________ City ___________________________________________ State ________ Zip__________________ 2. Company Name _______________________________ Phone # (_____) ____________________ City ___________________________________________ State ________ Zip__________________ 3. Company Name _______________________________ Phone # (_____) ____________________ City ___________________________________________ State ________ Zip__________________

I hereby affirm that all of the above information is true and correct and that I have received copies of the Advertising and Sub-Distribution Policies.

Signature: ________________________________________________ Date: __________________ Print Name: ________________________________________________

Dealer Application Page 2 of 7 Revised 5/1/16

DIVISIONS OF LEMANS CORPORATION

3501 KENNEDY RD. P.O. BOX 5222 JANESVILLE, WI 53547-5222 PHONE 608/758-1111 FAX 608/741-5395

To comply with the majority of state and local sales tax requirements, LeMans Corporation must have in its files a properly executed exemption certificate from all of its customers who claim a sales tax exemption. If we do not have this certificate, we are obliged to collect the tax for the state in which the property is delivered.

BLANKET RESALE CERTIFICATE

The undersigned Purchaser certifies that it is a regularly licensed retailer, registered under the laws of

the state as indicated below. All parts and accessories (including motorcycle, ATV, snowmobile, and/or

watercraft) and other tangible personal property purchased from LeMans Corporation and/or any of its

divisions, including:

PARTS UNLIMITED

DRAG SPECIALTIES

are being purchased for resale in the regular course of business and are exempt from applicable state sales and use tax.

Purchaser understands and agrees that if any property purchased tax-free under this certificate is used or consumed in any manner which would not exempt this sale from tax under this blanket resale certificate, the Purchaser assumes all liability to pay the proper sales/use tax, including any interest and penalty due thereon, to the proper taxing authority.

This blanket certificate shall be considered a part of each order given to LeMans Corporation and/or its divisions, unless the order otherwise specifies, and shall be effective until cancelled in writing.

This certificate is valid only for shipments delivered into the state of registration as identified below.

Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.

Legal Firm Name ___________________________________________________________________ D/B/A (if any) ______________________________________________________________________ Street Address______________________________________________________________________ City _______________________________________ State ____________ Zip __________________

Seller's Permit/ Registration # ______________________________ State of Registration __________

(State Resale Tax #)

Authorized Signature ____________________________________________ Date ________________

(Owner, Partner or Corporate Officer)

Printed Name _____________________________________ Title _____________________________

Dealer Application - Blanket Resale Certificate Page 3 of 7 Revised 5/1/16

DIVISIONS OF LEMANS CORPORATION

3501 KENNEDY RD. P.O. BOX 5222 JANESVILLE, WI 53547-5222 PHONE 608/758-1111 FAX 608/741-5395

BANK RELEASE

To Whom It May Concern: In Consideration of our Application with LeMans Corporation and/or its subsidiaries,

I,______________________________________ of ________________________________________

(Name)

(Company Name)

hereby authorize ___________________________________________________________ to release

(Bank Name)

information regarding our checking account status.

Bank Acct# _______________________________ Bank Ph# (______)________________________ Street Address _______________________________ Bank Fax # (______)_____________________ City / State / Zip: ____________________________________________________________________

Your cooperation in providing any information requested by LeMans Corporation will be greatly appreciated.

Signed_________________________________________________ Date______________________ Handwritten Signature Required

Dealer Application - Bank Release Page 4 of 7 Revised 10/7/16

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